Thomas M Helms, Giuseppe Boriani, Hans-Peter Brunner-La Rocca, Cedric Klein, Friedrich Koehler, Paweł Krzesiński, Yannick Maaser, Anne Neumann, Jose L Merino, Carsten Schultz, David Jay Wright, Bettina Zippel-Schultz, Gerhard Hindricks
{"title":"The present and future of cardiological telemonitoring in Europe: a statement from seven European countries.","authors":"Thomas M Helms, Giuseppe Boriani, Hans-Peter Brunner-La Rocca, Cedric Klein, Friedrich Koehler, Paweł Krzesiński, Yannick Maaser, Anne Neumann, Jose L Merino, Carsten Schultz, David Jay Wright, Bettina Zippel-Schultz, Gerhard Hindricks","doi":"10.1007/s00399-025-01076-8","DOIUrl":"https://doi.org/10.1007/s00399-025-01076-8","url":null,"abstract":"<p><p>Cardiovascular diseases remain one of the leading causes of death worldwide, placing a significant burden on individuals, families and healthcare systems. Telemedicine, in particular remote monitoring of patients with cardiovascular diseases, reduces this burden as it links the continuous monitoring of the health status with individual education and adaptation of the therapy to the needs of the patients. This improves patient outcomes and facilitates access to specialised healthcare services, independent of time and distance. Furthermore, telemedicine enables improvements in efficiency and promotes patients' self-care. However, the widespread adoption of remote patient monitoring faces several hurdles. A round table of experts from seven European countries (France, Germany, Italy, Poland, Spain, the Netherlands and the United Kingdom) reviewed the current state of telemedicine within the participating countries in order to learn from each other with an impetus for European co-operation. The creation of reliable regulations, overcoming regional differences, the redefinition of roles and processes, the personalisation of healthcare services, the promotion of innovation and research, the use of artificial intelligence and, finally, the efficient management and safeguarding of healthcare data were identified as key levers for further development of telemedicine. This discussion paper emphasises the need for cross-national research activities, involving all stakeholders, such as researchers, industry and patients, to foster the integration of telemedicine in clinical pathways.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Catheter ablation in patients with heart failure-who benefits?]","authors":"Leonard Bergau, Vanessa Sciacca, Christian Sohns","doi":"10.1007/s00399-025-01066-w","DOIUrl":"10.1007/s00399-025-01066-w","url":null,"abstract":"<p><p>Atrial fibrillation (AF) ablation is associated with a lower likelihood of death and surgical heart failure (HF) interventions in patients with HF. This effect is mainly driven by reduced all cause and cardiovascular death following ablation. Ablation also results in improved left ventricular (LV) function, decreased AF burden and AF regression. The accumulated evidence contributed substantially to a class 1 indication for AF ablation in patients with AF and HF with reduced ejection fraction in the 2023 ACC/AHA/ACCP/HRS guidelines. Risk scores like the CASTLE-HTx risk score may help to identify patients with HF who will particularly benefit from catheter ablation. The absolute benefit of catheter ablation is more pronounced in high-risk patients and is sustained over time. Catheter ablation should be considered as first-line therapy with a definitive class 1 indication for many patients with HF, particularly those with advanced HF.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Letter to the editor].","authors":"Walter Seeger","doi":"10.1007/s00399-025-01073-x","DOIUrl":"10.1007/s00399-025-01073-x","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"96-97"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Letter to the editor].","authors":"Bernd Lemke","doi":"10.1007/s00399-025-01074-w","DOIUrl":"10.1007/s00399-025-01074-w","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"98"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EP-Ausbildung in Österreich.","authors":"","doi":"10.1007/s00399-024-01056-4","DOIUrl":"https://doi.org/10.1007/s00399-024-01056-4","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":"36 1","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria Johnson, Carlos Antepara, Reza Wakili, Jörn Schmitt
{"title":"[Physiological pacing and heart failure : Hope or hype?]","authors":"Victoria Johnson, Carlos Antepara, Reza Wakili, Jörn Schmitt","doi":"10.1007/s00399-025-01070-0","DOIUrl":"10.1007/s00399-025-01070-0","url":null,"abstract":"<p><p>The cornerstone of heart failure treatment consists of a four pillar drug therapy. Patients with existing heart failure and complete left bundle branch block, or patients with an indication for pacemaker therapy for bradycardia and heart failure, benefit from physiological stimulation. For patients with left bundle branch block and severely impaired left ventricular systolic pump function (HFrEF), cardiac resynchronisation therapy (CRT) has so far been the gold standard. However, it is now increasingly possible to stimulate the conduction system directly using new forms of stimulation and to achieve similar clinical results. At present, left bundle branch area pacing (LBBAP) is the form of stimulation most frequently investigated in clinical studies. A special situation arises in the case of pacemaker-induced cardiomyopathy with right ventricular apical pacing. Here, LBBAP is certainly a beacon of hope.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joern Schmitt, Till Althoff, Sonia Busch, K R Julian Chun, Tillman Dahme, Micaela Ebert, Heidi Estner, Melanie Gunawardene, Christian Heeger, Leon Iden, Henning Jansen, Victoria Johnson, Tilman Maurer, Andreas Rillig, Sascha Rolf, Philipp Sommer, Daniel Steven, Richard Roland Tilz, David Duncker
{"title":"[Left bundle branch (area) pacing: lead positioning and implant criteria-step for step].","authors":"Joern Schmitt, Till Althoff, Sonia Busch, K R Julian Chun, Tillman Dahme, Micaela Ebert, Heidi Estner, Melanie Gunawardene, Christian Heeger, Leon Iden, Henning Jansen, Victoria Johnson, Tilman Maurer, Andreas Rillig, Sascha Rolf, Philipp Sommer, Daniel Steven, Richard Roland Tilz, David Duncker","doi":"10.1007/s00399-024-01060-8","DOIUrl":"10.1007/s00399-024-01060-8","url":null,"abstract":"<p><p>Left bundle branch area pacing is currently the most common form of physiological pacing prior to His bundle pacing. It is intended to prevent or correct the development of pacemaker-induced cardiomyopathy and is being used more and more frequently. In order to be able to perform this successfully, knowledge regarding the specific anatomy and radiological anatomy as well as the ECG criteria for left bundle branch pacing is required in addition to knowledge of the tools. In this article, the technical requirements and steps for successful implantation are summarized and pitfalls are highlighted.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac strangulation by epicardial pacing wires in adults.","authors":"S Serge Barold, Carsten W Israel","doi":"10.1007/s00399-024-01061-7","DOIUrl":"10.1007/s00399-024-01061-7","url":null,"abstract":"<p><p>Like children, adult patients with active or abandoned epicardial pacing leads are also at risk of developing life-threatening cardiac ischemia due to mechanical compression of the coronary arteries. As this complication is amenable to surgical removal, these patients require periodic evaluation for myocardial ischemia even if they are asymptomatic.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"75-77"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harilaos Bogossian, Sebastian Robl, Bernd Lemke, Konstantinos Iliodromitis
{"title":"[Mobitz or Wenckebach, that is the question].","authors":"Harilaos Bogossian, Sebastian Robl, Bernd Lemke, Konstantinos Iliodromitis","doi":"10.1007/s00399-025-01072-y","DOIUrl":"10.1007/s00399-025-01072-y","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Arrhythmias education-current considerations with a focus on ECG teaching].","authors":"Tobias Raupach","doi":"10.1007/s00399-024-01057-3","DOIUrl":"10.1007/s00399-024-01057-3","url":null,"abstract":"<p><p>In order to achieve favorable learning outcomes in medical students and residents, the development of educational interventions should be guided by specific principles. This article presents readers with a short summary of Kern's six-step approach to curriculum development before discussing results of medical education research with a focus on ECG teaching. A number of consecutive studies concluded that the choice of instructional format is less important for student learning outcome than examination consequences. Thus, if the final examination is summative (i.e., graded), students achieve higher scores regardless of the instructional method employed-even in the absence of formal teaching. Formative examinations are associated with considerably worse learning outcomes; however, they facilitate the detection of differences in effectiveness between various instructional formats. Follow-up data indicate that the loss of ECG interpretation skills is greater following a summative exam compared with a formative exam. In summary, while summative exams result in a short-term performance increase as they create a strong incentive to learn, they do not guarantee superior long-term retention. This begs the question which learning objectives can and should actually be covered in undergraduate and continuing medical education. The article concludes with a set of recommendations for the development of teaching interventions on heart rhythm disorders.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}